Samiah Ezell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3075 Citrus Cir Ste 204
Walnut Creek, CA 94598-2667

Phone

(916) 364-7800

Fax

(925) 256-1100

NPI assigned

Apr 26, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1548016835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 CITRUS CIR STE 204",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982667",
            "telephone_number": "916-364-7800",
            "fax_number": "925-256-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 CITRUS CIR STE 204",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982667",
            "telephone_number": "916-364-7800",
            "fax_number": "925-256-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZELL",
        "first_name": "SAMIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Everhart
• Amy Evje
• Evolve Growth Initiatives LLC
• Exposure Therapy Designs - a LMFT Professional Corporation
• Ez Port, Inc.
• Catherine Faan
• Adrianna Bella Faasala-Mair
• Fadi G. Haddad, MD, Inc
• Christy Fagen
• Crystal Faircloth, BCBA

• Behavior Technician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.